Appendectomy in pregnancy: evaluation of the risks of a negative appendectomy

作者：Ito Kaori; Ito Hiromichi; Whang Edward E; Tavakkolizadeh Ali^*

来源：American Journal of Surgery, 2012, 203(2): 145-150.

DOI：10.1016/j.amjsurg.2011.02.010

• Negative appendectomy
• Acute appendicitis
• Pregnancy

BACKGROUND: In pregnant women, a high negative appendectomy (NA) rate often is reported; however, the outcome of pregnancy after a NA is not well studied. %26lt;br%26gt;METHODS: Among 1,696 consecutive patients (728 men and 968 women) who underwent an appendectomy at our institution (1996-2005), 87 pregnant women were identified. Postoperative surgical and obstetric outcomes were analyzed based on the final pathologic report of the appendix (normal appendix, inflamed, or perforated). %26lt;br%26gt;RESULTS: The NA rate was significantly higher in pregnant women compared with nonpregnant women (36% vs 14%; P %26lt; .05). The fetal demise rate was similar between the NA group and the inflamed group (3% vs 2%; P = NS), and highest (14%) in the perforated group, although this difference did not reach statistical significance (P = .3). Wound infections were most frequent in the perforated group (P %26lt; .05). %26lt;br%26gt;CONCLUSIONS: NA during pregnancy is not free of risk to the fetus. We recommend careful assessment to avoid unnecessary exploration when appendicitis is suspected in pregnant women.

• 出版日期2012-2